Objectives: Upon completion, participants will be able to:
1. Distinguish between traditional reduction approaches and integrated reduction-reshaping techniques
2. Execute the BB-R lateral support system and Borenstein maneuver for width-to-projection conversion
3. Apply foundation-building principles to achieve superior aesthetic outcomes in ptotic, wide breasts
4. Implement complication reduction strategies including paper bra technique for optimal healing
Introduction: Traditional breast reduction focuses primarily on volume removal and inferior ptosis correction, often resulting in wide, non-projected breasts. The misconception that reduction and reshaping are mutually exclusive has limited surgical outcomes. The BB-R technique challenges this paradigm by addressing three undertreated characteristics: lateral displacement, horizontal excess, and loss of projection, achieving both significant reduction and superior aesthetic reshaping simultaneously.
Materials / method: Retrospective analysis of 338 consecutive BB-R procedures. Surgical technique: vertical scar markings, lateral support sutures (breast tissue to pectoralis fascia), stepwise Borenstein maneuver using thin dermal flaps with horizontal figure-8 sutures converting width to projection. Paper bra dressing protocol (POD 21 removal). Assessment: complications, patient satisfaction, aesthetic outcomes, revision rates. Statistical analysis of demographic and surgical parameters.
Results: 338 patients, average age 34, mean resection 395-400g. Complications: minor dehiscence 20% (eliminated with paper bra technique), infection 3.5%, seroma 3.2%, hematoma 0.8% requiring revision. Technique successfully achieved simultaneous volume reduction and aesthetic reshaping with upper pole fullness, improved width-to-length ratio, and "implant-like projection." Long-term follow-up demonstrated stable, natural-appearing results in wide, ptotic breasts.
Conclusion: The BB-R technique proves that breast reduction and reshaping are not mutually exclusive. By building proper foundations through lateral control and converting width to projection via the Borenstein maneuver, surgeons can achieve superior aesthetic outcomes while maintaining safety profiles comparable to traditional methods. This paradigm shift offers patients both functional relief and beautiful, natural-appearing breast contours in a single procedure.
利益冲突声明
您有否接受任何资金来支持研究这个主题?
否
您是否接受过关于这项研究的任何酬金或其他报酬?
否
你是否和任何与您的研究所涉及的药物,材料或工具有密切联系的实体存在财务关系?
否
你是否拥有或者您已经为您此研究中的工具,药物或材料申请任何专利?
否
这项工作没有任何直接或间接的资金支持。由作者自己承担责任。